进化中的外科手术实践在肠道透:从EUPSA-ERNICA调查的见解在2014年基线研究之后的十年
Tutku Soyer1, Federica Pederiva2, Luca Pio3
1Pediatric Surgery, Hacettepe Universitesi Tip Fakultesi, Ankara, Turkey.
概括
对于食道缩 (EA) 的手术实践显示出越来越多的标准化,更常规的手术前支气管镜和胸腔镜技术. 然而,长期随访和过渡到成人护理需要在欧洲中心进一步协调.
科学领域:
- 儿科手术 儿科手术
- 遗传异常是一种先天性异常.
- 消化道动脉管理管理
背景情况:
- 食道 (EA) 是一种先天性异常,需要复杂的手术管理.
- 欧洲儿科外科医生协会 (EUPSA) 和ERNICA的目标是改善罕见疾病的护理标准.
- 评估随着时间的推移EA外科实践的变化对于质量改进至关重要.
研究的目的:
- 评估EA目前的外科管理和护理实践.
- 为了识别过去十年EA治疗的变化.
- 将当前的做法与2013年调查进行比较.
主要方法:
- 一份包含56个问题的在线调查被分发给EUPSA成员和ERNICA代表.
- 该调查涵盖了中心结构,手术前评估,手术技术,术后护理,长期随访和并发症管理.
- 结果与2013年EUPSA网络办公室调查进行了比较.
主要成果:
- 来自41个国家的202名受访者参与了调查.
- 观察到常规手术前支气管镜检查和穿管使用的显著增加 (p<0.001).
- 对EA-tracheoesophageal fistula (TEF) 的胸腔镜技术显著增加 (p<0.001),常规胸部排水,选择性麻和在食前的对比研究也显著增加 (p≤0.004).
结论:
- 经过EA-TEF的手术管理显示了标准化和遵守建议的增加.
- 在长期随访,过渡到成人护理和生活质量评估方面仍然存在显著差异.
- 未来的努力应该集中在协调欧洲中心的护理方面的这些方面.
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